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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5005
U. S. DEPARTMENT OF LABOR
NOT TO BE FILLED IN BY ALIEN
FOR USE OF OFFICIALS SEARCHING IMMI-
NATURALIZATION SERVICE
GRATION RECORDS
CLERK OF COURT:
RECORDS EXAMINED
Place number
in
upper left-hand corner of all copies of
CARD INDEX
declaration, immediately under your
INDEX BOOKS
declaration number.
DISTRICT DIRECTOR OF NATURALIZATION
MANIFESTS
I desire to file my Declaration of Intention (first paper) to become a citizen.
Mr.
My name is
Mrs.
My present occupation is cook
Miss
}
Sinseppe (Alien should print or typewrite Rubino here true, original, and
; 35
age,
years.
correct name)
(Give age last birthday)
My personal description is: Color, white ; complexion,
dark
;
height, 5 feet 242 inches;
weight, 142 pounds; color of hair. darkbown ; color of eyes, brown
;
other visible distinctive marks: Scarobackof neck
I was born in
marsala
on the 9th day
(City or town
(Country)
of
Staly
My present (Number and street) City town) (Gounty) lewbondon, (State) Coun.
residence is US.
Junetatine
or
The place where I took the ship or train which landed me in the United States ovas
on March
naples, 21 1910 Italy
,
(Day)
(Year)
The
name of the ship or railroad on which I came was Flori Rubattine (onth)
My last place of foreign residence was said marsala
I am not married. The name of my wife
(City or town)
(Country)
She
is
was born at
husband
He
,-and now resides at
,
I am now
a subject of and intend to renounce allegiance to Victor Emmanuette
(Write name and title of sovereign and country of which now a subject;
or, if citizen of a republic, write name of republic only)
I arrived at the United States immigration port of
new (City or town)
m.y. (State or territory)
, on march 28 1910
York
14-8
(Give exact month, day, and year)
(OVER)
Page data
- Page
- 261
- Source index
- 0
- Type
- photo
- Media ID
- a9ee92bd26220139
- Size
- unknown
Document data
- ID
- 159596813
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
Document identity
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Document source metadata
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Document source extras
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Page context
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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5005\nU. S. DEPARTMENT OF LABOR\nNOT TO BE FILLED IN BY ALIEN\nFOR USE OF OFFICIALS SEARCHING IMMI-\nNATURALIZATION SERVICE\nGRATION RECORDS\nCLERK OF COURT:\nRECORDS EXAMINED\nPlace number\nin\nupper left-hand corner of all copies of\nCARD INDEX\ndeclaration, immediately under your\nINDEX BOOKS\ndeclaration number.\nDISTRICT DIRECTOR OF NATURALIZATION\nMANIFESTS\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\nMy present occupation is cook\nMiss\n}\nSinseppe (Alien should print or typewrite Rubino here true, original, and\n; 35\nage,\nyears.\ncorrect name)\n(Give age last birthday)\nMy personal description is: Color, white ; complexion,\ndark\n;\nheight, 5 feet 242 inches;\nweight, 142 pounds; color of hair. darkbown ; color of eyes, brown\n;\nother visible distinctive marks: Scarobackof neck\nI was born in\nmarsala\non the 9th day\n(City or town\n(Country)\nof\nStaly\nMy present (Number and street) City town) (Gounty) lewbondon, (State) Coun.\nresidence is US.\nJunetatine\nor\nThe place where I took the ship or train which landed me in the United States ovas\non March\nnaples, 21 1910 Italy\n,\n(Day)\n(Year)\nThe\nname of the ship or railroad on which I came was Flori Rubattine (onth)\nMy last place of foreign residence was said marsala\nI am not married. The name of my wife\n(City or town)\n(Country)\nShe\nis\nwas born at\nhusband\nHe\n,-and now resides at\n,\nI am now\na subject of and intend to renounce allegiance to Victor Emmanuette\n(Write name and title of sovereign and country of which now a subject;\nor, if citizen of a republic, write name of republic only)\nI arrived at the United States immigration port of\nnew (City or town)\nm.y. (State or territory)\n, on march 28 1910\nYork\n14-8\n(Give exact month, day, and year)\n(OVER)"
}